A nurse is caring for a client with difficulty breathing due to nasal congestion. What care should the nurse take to prevent the client from inhaling large droplets of the medication when the nasal spray is being administered?
A) Instruct the client to breathe through her mouth.
B) Place a rolled towel or pillow behind the client's neck.
C) Place the tip of the container just inside the nostril.
D) Help the client to a sitting position with her head tilted backward.
A
Feedback:
In order to prevent the client from inhaling large droplets of medication, the nurse should instruct the client to breathe through her mouth. To provide support and aid positioning, the nurse could place a rolled towel or a pillow behind the neck if the client cannot sit. Placing the tip of the container just inside the nostril confines the spray within the nasal passage. In order to facilitate depositing the drug where its effect is desired, the nurse should help the client to a sitting or lying position with her head tilted backward or to the side if the drug needs to reach one or the other sinus.
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